Individual
KIMBERLY KIVLAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6001 STONEWOOD DR, WEXFORD, PA 15090-7380
(724) 933-3850
(724) 933-3880
Mailing address
6001 STONEWOOD DR, WEXFORD, PA 15090-7380
(724) 933-3850
(724) 933-3880
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC007089L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620295
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
04/07/2006
Last updated
07/08/2007
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